VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Michelle Henderson
2912 Silvertail Court
Henrico, VA 23231
(804) 795-2690

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: Jan. 17, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household Members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

An unannounced monitoring inspection was initiated and concluded on 1/17/2023. The inspector was on site from approximately 11:03 am-12:30 pm. There were 11 children in care, ranging in age from 9 months to 4 years, with 1 caregiver supervising. The inspector reviewed compliance in the areas of administration, personnel, household members, physical environment and equipment, care of children, emergencies, caregiver training, preventing the spread of disease and nutrition. A total of 5 child records, 2 caregiver records, and 1 household member record were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-800-570-A
Description:	Based on observation, review of documentation and interview, the provider did not ensure that a caregiver did not exceed 16 points by using the point system to determine if an additional caregiver was needed as required. Evidence: 1. On 1/17/2023 at approximately 11:03 am, Eleven (11) children ranging in age from 9 months to 4 years were observed in the care of one (1) caregiver. Eleven (11) children were signed in on the attendance roster and totaled 26 points. At 12:00, three (3) children were picked up which left the one (1) caregiver with 17 points. At approximately 12:52 pm, the provider notified the inspector that one (1) child had been picked up which gave the caregiver 14 points. 2. The provider acknowledged in interview that the caregiver was over points on 1/17/2023 from approximately 10:40 am to 12:52 pm.
Plan of Correction:	As soon as I am notified of/made aware of possible lateness, parents will be asked to not bring child until assistant arrives. If they come I will turn away once points are reached.